Look up the most recent NPI and PECOS records

Lloyd Andrew Roberts

Internal Medicine

Allopathic & Osteopathic Physicians

1321 Colby Ave, Medical Staff Office, Everett, WA 98201

(425) 261-2000 (866) 747-2455

PECOS Enrollment

This provider is enrolled in PECOS as LLOYD ROBERTS.

Based on the most recent information from CMS, provider Lloyd Andrew Roberts is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1235219205
Provider Type
Individual
Full Name
Roberts, Lloyd Andrew
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
10/16/2006
Last Updated
3/30/2021

Contact Information

Practice Location

1321 Colby Ave, Medical Staff Office, Everett, WA 98201

(425) 261-2000

Unlisted Fax

Mailing Location

PO Box 3360, Portland, OR 97208-3360

(866) 747-2455

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD00031760 Washington
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 10789 South Dakota
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License MD00031760 Washington

Provider Identifiers

ID	Description	Issuer
ID 2046615	Description Medicaid	Issuer Unlisted Washington
ID 2021481	Description Other	Issuer INTERNAL ID-MOTOR VEHICLE ID
ID 8155350	Description Medicaid	Issuer Unlisted Washington

Lloyd Andrew Roberts

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer